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Pulmonary aspects of treatment of long bone fractures in the polytrauma patient.

Publication ,  Journal Article
Olson, SA
Published in: Clin Orthop Relat Res
May 2004

During the past decade, there have been significant advances in the treatment of long bone fractures in the polytraumatized patient. The major controversy in this area is whether definitive long bone stabilization needs to be done emergently. In general, definitive fixation should be done early in the patient's hospital course after it is determined that the patient is hemodynamically stable and is resuscitated adequately. The major benefits of fixation are: (1). improve mobilization to enhance pulmonary function; (2). decreased narcotic requirements with improved pain control after fixation; and (3). early aggressive fluid resuscitation associated with operative intervention. Patients with multisystem injury who are underresuscitated or are unstable should have early external fixation because temporizing skeletal stabilization until definitive fixation can be done.

Duke Scholars

Published In

Clin Orthop Relat Res

DOI

ISSN

0009-921X

Publication Date

May 2004

Issue

422

Start / End Page

66 / 70

Location

United States

Related Subject Headings

  • Triage
  • Treatment Outcome
  • Time Factors
  • Risk Assessment
  • Respiratory Function Tests
  • Radiography
  • Orthopedics
  • Multiple Trauma
  • Male
  • Lung Diseases
 

Citation

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Chicago
ICMJE
MLA
NLM
Olson, S. A. (2004). Pulmonary aspects of treatment of long bone fractures in the polytrauma patient. Clin Orthop Relat Res, (422), 66–70. https://doi.org/10.1097/01.blo.0000129148.07518.27
Olson, Steven A. “Pulmonary aspects of treatment of long bone fractures in the polytrauma patient.Clin Orthop Relat Res, no. 422 (May 2004): 66–70. https://doi.org/10.1097/01.blo.0000129148.07518.27.
Olson SA. Pulmonary aspects of treatment of long bone fractures in the polytrauma patient. Clin Orthop Relat Res. 2004 May;(422):66–70.
Olson, Steven A. “Pulmonary aspects of treatment of long bone fractures in the polytrauma patient.Clin Orthop Relat Res, no. 422, May 2004, pp. 66–70. Pubmed, doi:10.1097/01.blo.0000129148.07518.27.
Olson SA. Pulmonary aspects of treatment of long bone fractures in the polytrauma patient. Clin Orthop Relat Res. 2004 May;(422):66–70.
Journal cover image

Published In

Clin Orthop Relat Res

DOI

ISSN

0009-921X

Publication Date

May 2004

Issue

422

Start / End Page

66 / 70

Location

United States

Related Subject Headings

  • Triage
  • Treatment Outcome
  • Time Factors
  • Risk Assessment
  • Respiratory Function Tests
  • Radiography
  • Orthopedics
  • Multiple Trauma
  • Male
  • Lung Diseases